P Praxis·MD
● Active Type 1 · Individual

Trudy Bearden, PA-C

Physician Assistant·Pocatello, ID· NPI 1639151848 · Enumerated 2005 · 20 years on NPI
Bearden is 1 of 33 physician assistant providers in Pocatello and 1 of 387 in Idaho.
NPI age
20 years
Enumerated 2005-11-15
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
465 Memorial Dr
Pocatello, ID 832090001
📞 2082824700
Mailing address
465 Memorial Dr
Pocatello, ID 832014008

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-543 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (ID) PA-543 PA LICENSE NUMBER

Practice context

Part of a multi-provider practice. 127 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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